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1497801666
IGOR MALITSKY
CROMWELL, CT
NPI
1497801666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X Orthotist
(Licence: CT 20361)
Enumeration Date
2007-01-28
Last Update Date
2007-10-25
Business Address
Mr. IGOR MALITSKY CPED
51 SHUNPIKE RD STE 41
CROMWELL, CT 06416-2497
Phone number: 860-635-7653
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Mailing Address
Mr. IGOR MALITSKY CPED
51 SHUNPIKE RD STE 41
CROMWELL, CT 06416-2497
Phone number: 860-635-7653
Copy